Family Registration Form PARENT or GUARDIAN INFORMATION (Required) Parent 1 Name * First Name Last Name Email * Phone * (###) ### #### Relationship * Father Mother Grandparent Family Friend Legal Guardian Other Household Note Section 2nd PARENT or GUARDIAN INFORMATION 2nd Parent Name First Name Last Name 2nd Parent Email 2nd Parent Phone (###) ### #### Relationship Father Mother Grandparent Family Friend Legal Guardian Other HOUSEHOLD ADDRESS (Required) Address * Address 1 Address 2 City State/Province Zip/Postal Code Country 1st CHILD INFORMATION 1st Child Name * First Name Last Name 1st Child Birth Date * MM DD YYYY 1st Child Grade * Nursery Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Post High School 2nd CHILD INFORMATION 2nd Child Name First Name Last Name 2nd Child Birth Date MM DD YYYY 2nd Child Grade Nursery Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Post High School 3rd CHILD INFORMATION 3rd Child Name First Name Last Name 3rd Child Birth Date MM DD YYYY 3rd Child Grade Nursery Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Post High School Thank you for your interest in Mount Paran Church. Family registration is updated during office hours. If you have any questions email Childrens@MountParan.com
